Individual
KEEGAN MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
54140
MN
207Q00000X
Family Medicine Physician
Primary
7867
AK
Other
Enumeration date
04/30/2010
Last updated
10/14/2015
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